Mr. Kasich is a 77-year old who was recently taken to the emergency room after he fell when trying to get out of bed. There, he was found to have a blood glucose level of 35 milligrams per deciliter and was diagnosed with uncontrolled type 2 diabetes mellitus and hypoglycemia despite many years of well-maintained the blood glucose levels. After further assessment, Mr. Kasich was transferred to a medical room in the hospital. His background includes diagnosed with type two diabetes mellitus, advanced congestive heart failure and lung cancer. Has Medicare parts A and B. Lives with wife in a remote area that is 40 miles from the closest healthcare provider. Is proficient using his home computer. Mr. Lane is a 42-year old who was admitted for exacerbation of heart failure. His background includes has diabetes mellitus type two. Is a long-haul truck driver with a large trucking company. Is privately insured. Is single and primarily lives in his truck. Both Mr. Kasich and Mr. Lane are going home with telehealth consisting of a telemonitoring device that transmits weight, blood pressure, blood glucose levels and pulse oximetry to a remote telehealth nurse. Even though the use of telehealth does not often include hands on interaction, the goal of keeping patients out of a hospital is consistent with quality nursing practice. Telehealth applications are designed to enhance the patient experience and improve clinical outcomes while providing care for patients in their home environment rather than an institutional setting. Telehealth supports self-care by empowering patients, which is a central tenet of nursing practice. 

Review the case scenario above and address the following.

• Discuss how telehealth can assist to address equality of health care resource distribution. What barriers must be removed to achieve well-being, sufficiency, and health care access for all? 
• In your discussion, consider concepts such as equity, respect, self-determinism, health literacy, cyclic disadvantage, and health care disparities among marginalized populations or groups.
• Compare and contrast how each patient may benefit from telehealth services and the ethical considerations from the viewpoint of the nurse.

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

 #2

Write a 3-4 page proposal for billing changes, and explain how the proposed changes will benefit the organization, the physicians, and the patients. 

Additional Requirements

• Include a title page and reference page.
• Number of pages: 3–4.
• At least three current scholarly or professional resources.
• APA format for in-text citations and references.
• Times New Roman font, 12 point.
• Double-spaced.

Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection.

Attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC: 

Joint Commission Model for Improving LGBTQ Health     

Lesbian, Gay, Bisexual and Transgender Health: https://www.cdc.gov/lgbthealth/

I’m asking for 250 words. APA 7th ed. style. plagiarism free. Please provide plagiarism report. due date 7/14/21. 2 scholarly sources not older than 2016

1.   

Marilyn is 22 years old and has recently been diagnosed as pre-diabetic. Her mother has recently discovered that she has high LDL and triglycerides, and her father takes medication for hypertension. Marilyn’s Intake vs. Goals report is below.

Using the Intake vs Goals report and the information in Chapter 11, identify 1 nutrient that puts Marilyn at even greater risk for the disease you identified in #1 because it is too low. What is the specific connection between this nutrient and the disease you identified in #1?

Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

Osteoporosis

J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

Diagnosis: Osteoporosis 

1. List specific goals of therapy for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What OTC or alternative medicines might be appropriate for this patient?

7. What dietary and lifestyle changes might you recommend?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.